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10300 SW GREENBURG RD#180
CITY OF TIGARD BUILDING PERMIT
SERVICES
PIERMIT #. . . . . . . " EALIF-98-0557
13125 SW Hall Blvd., Tigard,OR 97223(5031639 4171
DATE I�ESUED: 01/07/9173
iL)I)HU,SS. . . : 1.0--'00 SW GREENSURG RD it 180 Z C)NI NG:C-P1
T)UBD I V I S I ON. . . . : RED LOBSTER / CASA LAJF11Tn JURISDICTION:TTG
S LOCK. . . . . . . . . . : LOT. . . . . . . . . ..
FLOOR AREAS----- V --EXTERIOR WALL CONSTRUCTTOI1,1
(',LASS OF WORK. :ALT FI R51 . . . . 0 S f N-. C': E: W:
FYF,E OF- USE. . . :COM SECOND...: 0 5f PROTECT OF,ENINGS?-------
r'YP,F OF CONST. :2F*R . . . t 622 S f N: S: E- W:
OCCL)FIANCY GRF1. -S TO'1*AL---------- 1622 s-F ROOF CONST: FIRE RET' :
OCCUPANCY LOAD: 1.4 BASEMFNT. i V, T,f AREA SEF,. RATFD:
0 S f OCCU SEF,. RATED:
!3TOR. : 0 11T: 0 ft GARAGE. . . : PED.1-1 I RED-----------------------
lASMT?. MEZZ'�: RE SETBACKS----- I DET. . :
FA_.0 0 R LOAD. . . . : Vi p-if LEFT: 0 ft RGHT: 0 ft, F- TR SF1KI_:Y SMOK
T)WELA JNG UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AI. RM- HNDICr1 ACC:y
BFDRMS: 0 BATHS: 0 IMF, SURFACE-- 0 F,RO CORR: PARKING: 0
VALUE'. $ : 1.4'97F,
rtemarlis : TI - add partition walls.
Owner: _...___._.____..___ FEES
I%NICKERBOCKER P,ROP,ERTIES TIAC t y Fie a m o i.t ri t by date recpt
1,0300 53W GREENBURG ROAD FIRMT t, 98. 50 DEB Ot/07,199 99-311981
5FICT 1i 4, '3.3 DEB 01 107199 99- 31138
,.`iUITE 2'00 PLCK $ 64. 03 DEB 01 /07/99 99-31198
171hon
FIORTL.AND OR 97223#: 452-5900 FIRE $ 39. 40 DEB 01 /07/99 99-3119A 7
e
Contractor:
IIALIBU PACIFIC
-7-15 NE JACKSON SCHOOL. ROAD
HILLSDORO OR 971;:-`4
I"'horip #: 6:93-9797 $ 206. BF, 'TOTAL
09, 90471
--REGIUIRED AC'T'T ONS or INSF'ECTIONS-
This permit is issued subjFct to the regulations contained in Cie Framing Insp
Tigard Municipal Cide, state of Ore. specialty Codes and all other Gyp Board Trisp
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days, ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-011.-00I0 through OAP 952-00101987.
You nany obtain a COPY Of these rules or direct questions to OLK
by calling (503)246-1987.
Permittee 53i grist 1.1r-P
J� Issi.ied
+++++++ ++++++++++++++++++++++++++- 4-+++4-++++++++4-++++-r
+.+++++"-+++++•+•+++++-++++++- . .
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
..........4-++4...................4-+4-+4..............4-+++4.+++A-.+++4-++4-+4++-+--++++4
-rtY OF TIGARD Commercial Building Permit Application Recd By______—.
13125 SW HALL BLVD- Tenant Improvement Date Recd
TIGARD, OR 97223 Date to P.E.
( Date to DST t
503) 639-4171 13 w""9�F- C�
Permit x 9e- OSS?
Print or Type Related SWR*_
Incomplete or illegible applications will not be accepted Called,#,NMYT��,�?
Name of Development/Project Existing Building XNew Building
Job Lincolh Cet,-t -
Address Street Address - Suile Building L'(viccJPl CetAer - C)eie Ir+fa'r,
lows SWGr�,b.��� ._^_A._L_leo Data
Bldg# City/StatL✓ lip Existing Use of Building or Property 1
L in „�. Port 44 ,OR._ 272-2
Name
Property ;11c�'bUc er p r it's (nC"XX�� Proposed Use of Building or Property:
Owner Mailing Address Suite �'" I ce-
10300 Sw elvil_ Mo o No. Ot Stories
CilylSlale 71p �-J Phone ---
fort2iil,4 97S?-"- 59th Sql Ft. Of Project:
Occupant Name _ —
I �J
SerVCV'`or j c.. Occupancy Class(es)
Name 1O
Contractor 090 Ty Ty e(s)of Construction —
Prior to permit Mailing Address Suitetem
Issuance,a copy W NE JAC�.lOih S' ae� I Will this project have a Fire Suppression Sys ?
of all licenses
are required If City/Slate Zip Phone Yes NO
[� _ _ --_-
expired In C.O.1 II-- Americans with Disabilities Act(ADA)
database �i�l��� d� Z4' (c�3'��9z Valuation X 25% = $ _—Piirticipation
Oregon Const.Cont.Board Lic.* Exp.Date Complete Accessibility Form
--_ C59[D) 5 Project `— $ -- — -
Name I-,� —-- Valuation
Architect C-iv 76d GYM t69-� kc, Plans Required. See Matrix for number of sets to submit
Mailing Address Suite on back
920 W 3'4 2ytauje Im'-)
City/State 1 Zip Phone I hereby acknowledge that I have read this application,that the infor: �ation�
given is correct,that I am the owner or authorized agent of the owner,and
Name that plans submitted are in compliance with Oregon State Laws
Engineer
Signature of Owner/Agerlt Date
Mailing Address S,ilte S!�✓G �- to— 79
Con erson Name Phone
-CltylState Zip Phone ;'�Ic;,� 1 SAN GA('E (v9 3- (779 7
---- FOR_OFFICE USE O_N_l._Y
Indicate type of work: New O Addition O Demolition O Map/TI-ft Land Use. _
Accessory Structure O Foundation Only O Alteration('f
Repair O Other O Notes — --_.�..
Description of work:
-- -------------
Tlf
Teha�,{ Iwtpm�e�,�
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I\COMNEw-rlDOC (DST) 5198
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED
application. For an electrical submittal, the application must contain the
signature of the supervising electrician before plan mview will be crnducted.
After plan review approval, Plans Examiner will concert the applicant to request
additional plan sets for distribution purposes. (Copt for Contractor, City,
Washington County, Tualatin Valley Fire & Rescus}
------ - �_ _
Total it of _
TYPE OF SUBMITTAL Plans KE:Y_:_
Submitted
S (Private) 1 S = Site Work
B (New or Add) _ 1 B = Building
F (New or Add ar Alt) 3 F = Fire Protection System
M v .ji Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M'& P (New or Add) — 2 Y - New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E i— – 3 Alt = Alternation to Existing
--(New , Add) T Building
*B or B & M (Alt) 1
& E(Alt) M 3
-B & M & P& E & F(Alt) T 3_.__
NOTES:
*Shaded areas dagignate ALT submittals only
I\dstsVnaxtrix1 doc 07/06/98
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1)Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the
restroom,telephones and drinking fountains are readily accessible to individuals with
disabilities,unless such alterations are disproportionate to the overall alterations in
terms of cost and scope.
(2)Alterations made to the path of travel to an altered area may be deemed
disproportionate to the overall alteration when the cost exceeds twenty-five percent
(25%).
yALU M,N of all renovation, alteration or modification being done _ 00
excluding painting, wallpapering. [1] $ �5` .
rnuyply; 25% Barrier removal requirement. .25._�
BUDGET FOR BARRIER REMOVAL [2] $ '41-1 P 'X8'15 0 _
In choosing which accessible elements to provide under this section, priority shall be given to
those elements that will provide the grcatpst access. Elements shall be provided in the following
order:
(a) Parking „C, rf NAe-r, c��b �,,{.r fir;rP l 1,_J $�j8'50 --
s,�na��
(b) An accessible entrance: $ __� --
(c) An accessible route to the altered area: —_—
(d) At least one accessible restroom for
each sex or a single unisex restroom: _ --_—
(e) Accessible telephones: ---
(f) Accessible drinking fountains: and
(g) When possible, additional accessible
elements such as storage and alarms
5�
TOTAL: Shall equal line 2 of value computation g3�, ___—